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General NPI Number Information
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NPI Number | 1871955195
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Entity Type | Organization
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Legal Business Name | YOUNG ADULT INSTITUTE INC.
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 912 MELVILLE ESTATES CT
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City | MELVILLE
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State | NY
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Zip | 11747-2827
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Country | US
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Telephone | 631-967-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 460 W 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-2320
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GEORGE CONTOS
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Credential |
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Telephone | 212-273-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 6113220
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License Number State | NY
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